Provider Demographics
NPI:1184655755
Name:BADHWAR ASSOCIATES, MD PC
Entity Type:Organization
Organization Name:BADHWAR ASSOCIATES, MD PC
Other - Org Name:BADHWAR ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANMOHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BADHWAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-362-9032
Mailing Address - Street 1:19135 ALLEN RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BROWNSTOWN TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48183-6813
Mailing Address - Country:US
Mailing Address - Phone:734-362-9032
Mailing Address - Fax:734-362-9001
Practice Address - Street 1:19135 ALLEN RD
Practice Address - Street 2:SUITE 106
Practice Address - City:BROWNSTOWN TWP
Practice Address - State:MI
Practice Address - Zip Code:48183-6813
Practice Address - Country:US
Practice Address - Phone:734-362-9032
Practice Address - Fax:734-362-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI110H217060OtherBCBSM
MI700H217060OtherBCBSM
MICH7098OtherRAILROAD MEDICARE
MIG05461OtherBLUE CARE NETWORK
MICH7098OtherRAILROAD MEDICARE